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Individual

MARISA MALZONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
61186 SW BEVERLY WAY, BEND, OR 97702-5013
(808) 342-5901
Mailing address
61186 SW BEVERLY WAY, BEND, OR 97702-5013
(808) 342-5901

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS18873

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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